Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1689668188
Practice Locations (2)
2100 LYNN RD
THOUSAND OAKS, CA 913601936
250 LOMBARD ST, SUITE 1
THOUSAND OAKS, CA 913608208
8054953687
Source: CMS National Downloadable File, September 2026.